Objective :To observe the effect of acupuncture on anaesthesia ,incidence of postoperative adverse reactions and urinary retention in patients undergoing anorectal surgery .Methods :70 patients undergoing elective anorectal surgery were randomly divided into the control group and the treatment group ,35 cases in each group .The patients in the control group were treated with low lumbar anesthesia ,and the patients in the treatment group were anaesthetized with acupuncture .The effect of operation anesthesia ,the incidence of postoperative ADR and the reten-tion of urine were compared between the two groups .Results :the time of induction of anesthesia and the time of an-algesia in the treatment group were significantly lower than those in the control group (P＜ 0 .05) ,and the patients (88 .6%) reaching first and two levels (88 .6%) were significantly higher than the control group (71 .4%) (P＜ 0 . 05) ,and the incidence of postoperative adverse reactions (nausea ,sweating ,anorectal fall feeling ) and urinary reten-tion in the treatment group were all lower than those of the control group .(P＜0 .05) ,the difference was statistically significant .Conclusion :acupuncture anesthesia can significantly improve the anesthetic effect of anorectal surgery , reduce the incidence of postoperative adverse reactions and urinary retention ,and it is safe and effective .It is worthy of clinical recommendation .%目的:观察针刺对肛肠手术患者麻醉效果、术后不良反应发生率及尿潴留情况的影响.方法:将行择期肛肠手术患者70例,随机对照组和治疗组患者各35例.对照组患者采用低位腰麻,治疗组患者加用针刺麻醉,对比两组患者手术麻醉效果、术后不良反应发生率及尿潴留情况.结果:治疗组诱导麻醉成功时间、术中镇痛时间显著低于对照组(P＜0 .05) ,达到一级及二级麻醉效果患者(88 .6%)明显高于对照组(71 .4%)( P＜0 .05) ,且治疗组术后不良反应(恶心、出汗、肛门下坠感)及尿潴留发生率均低于对照组(P＜0 .05) ,差异具有统计学意义.结论:针刺麻醉可显著提升肛肠手术患者麻醉效果,降低术后不良反应及尿潴留发生率,方法安全有效,值得临床应用.
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